For many veterans, conjunctivitis is far more than temporary “pink eye.” Chronic or allergic conjunctivitis can cause persistent eye pain, blurred vision, discharge, and sensitivity that interfere with work, driving, and daily life.
When these symptoms began during military service or were worsened by environmental exposures the VA recognizes conjunctivitis as a ratable eye condition eligible for disability compensation.
“Eye conditions are often overlooked in VA claims, even though they can significantly limit a veteran’s ability to function,” says Brian Reese, VA disability expert.
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Conjunctivitis in Veterans
Veterans are uniquely exposed to conditions that increase the risk of chronic eye inflammation. Dust storms, sand, burn pit smoke, chemical irritants, and prolonged exposure to harsh environments can all contribute to conjunctivitis that never fully resolves.
For some veterans, symptoms flare constantly. For others, they come and go but still cause lasting damage or visual impairment.
“Chronic conjunctivitis is frequently misdiagnosed or minimized, which leads to underrating,” explains Dr. Laura Bennett, ophthalmology consultant.
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Allergic vs Chronic Conjunctivitis: VA Definitions
From a VA disability perspective, understanding the type of conjunctivitis you have is critical because it determines how the condition is rated.
Allergic Conjunctivitis
Allergic conjunctivitis occurs when the eyes react to allergens in the environment.
Common Characteristics
- Itching and burning
- Redness and tearing
- Puffiness around the eyes
Common Triggers
- Pollen
- Dust and sand
- Smoke and chemical irritants
- Burn pit exposure
Typical Treatments
- Antihistamine eye drops
- Corticosteroid drops
Chronic Conjunctivitis
Chronic conjunctivitis refers to long-term or recurrent inflammation that lasts weeks, months, or years.
Common Characteristics
- Persistent redness
- Discharge or crusting
- Blurred vision
- Eye pain or pressure
Common Causes
- Prolonged exposure to debris or chemicals
- Bacterial infections
- Repeated environmental irritation
Typical Treatments
- Antibiotics
- Ongoing eye care
- Long-term medication
“When conjunctivitis becomes chronic, it’s no longer a minor issue it’s a functional impairment,” notes James Holloway, VA-accredited disability attorney.
How the VA Rates Conjunctivitis?
VA disability ratings for conjunctivitis fall under 38 CFR §4.79 (Schedule of Ratings—Eye) and are assigned based on the type and activity level of the condition.
Chronic Conjunctivitis VA Rating – Diagnostic Code 6018
Diagnostic Code (DC) 6018 applies to non-trachomatous chronic conjunctivitis, including allergic conjunctivitis.
DC 6018 Rating Criteria
- 10% VA rating – Active conjunctivitis with objective symptoms such as discharge, crusting, or redness
- Inactive condition – Rated based on residual effects
Possible Residual Ratings
- Visual impairment
- Facial or eye disfigurement
- Ongoing irritation requiring treatment
Trachomatous Conjunctivitis VA Rating – Diagnostic Code 6017
Diagnostic Code 6017 applies to trachomatous conjunctivitis, a severe infectious eye disease.
DC 6017 Rating Criteria
- Minimum 30% VA rating when active
- When inactive, rated based on residual visual impairment or disfigurement
“DC 6017 carries more weight because trachoma can permanently damage vision,” explains Dr. Bennett.
Active vs Inactive Conjunctivitis
VA raters must determine whether conjunctivitis is active or inactive at the time of evaluation.
Active Conjunctivitis
- Visible discharge or crusting
- Swelling or redness
- Confirmed during a C&P exam
Typically qualifies for a 10% VA rating under DC 6018.
Inactive Conjunctivitis
- No visible symptoms at the exam
- Still ratable based on residual effects such as vision loss or disfigurement
Establishing Service Connection for Conjunctivitis
To receive VA disability compensation, veterans must establish service connection.
Required Elements
1. Current Diagnosis
A medical diagnosis of allergic or chronic conjunctivitis
2. In-Service Event or Exposure
Dust, sand, chemicals, burn pits, infections, or environmental hazards
3. Medical Nexus
A professional medical opinion linking conjunctivitis to service
“A well-written nexus letter is often the difference between approval and denial,” says Holloway.
Secondary Service Connection for Conjunctivitis
Conjunctivitis may also be service-connected secondarily.
Common Primary Conditions
- Chronic sinusitis
- Allergic rhinitis
- Asthma
- Burn pit–related respiratory conditions
A medical nexus letter is typically required.
C&P Exams for Conjunctivitis
After filing a claim, the VA may schedule a Compensation & Pension (C&P) exam.
What the Examiner Evaluates?
- Current symptoms
- Frequency and duration of flare-ups
- Discharge, crusting, or redness
- Visual acuity and impairment
- Medical history and service exposure
Missing a C&P exam may result in claim denial. Veterans may also submit a private DBQ to support their claim.
VA Compensation Levels for Conjunctivitis
- DC 6018 (chronic/allergic) – Maximum 10%
- DC 6017 (trachomatous) – Minimum 30%
While ratings are limited, conjunctivitis can still increase combined ratings or support TDIU.
TDIU and Conjunctivitis
Veterans whose conjunctivitis contributes to an inability to maintain substantially gainful employment may qualify for Total Disability Based on Individual Unemployability (TDIU).
TDIU Eligibility
- One disability rated 60% or more, or
- Multiple disabilities with one rated 40% and a combined 70%
“TDIU is based on work impact, not just rating percentages,” notes Reese.
How to File a VA Claim for Conjunctivitis?
Veterans must file using VA Form 21-526EZ.
Filing Options
- Online at VA.gov
- By mail
- By fax
- In person at a VA regional office
Including medical records and nexus evidence greatly improves approval odds.
Why Conjunctivitis VA Ratings Are Often Underrated?
Conjunctivitis claims are frequently underrated because:
- Symptoms fluctuate
- Exams occur during inactive periods
- Residual effects are ignored
“Veterans should never assume eye conditions are too minor to be compensable,” emphasizes Holloway.
Final Thought
Living with conjunctivitis after service is not a minor inconvenience it can be a chronic, life-altering disability. Whether caused by allergens, burn pits, or harsh environments, conjunctivitis deserves accurate evaluation and compensation.
Understanding diagnostic codes, service connection rules, and rating criteria gives veterans the power to secure the benefits they earned.
FAQs
What is the VA rating for chronic
conjunctivitis?
Active chronic conjunctivitis is rated at 10%. Inactive cases are rated based on residual effects.
What’s the difference between allergic and chronic conjunctivitis for VA claims?
Allergic conjunctivitis is triggered by allergens, while chronic conjunctivitis is long-term. Both are rated under DC 6018 unless trachomatous.
How do I prove conjunctivitis is service-connected?
You need a current diagnosis, evidence of in-service exposure, and a medical nexus.
Can conjunctivitis be rated as a secondary condition?
Yes. It may be secondary to sinusitis, allergies, or burn pit exposure.
Can conjunctivitis qualify for TDIU?
Yes, when combined with other disabilities that prevent employment.
